| NPI | 1164178752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FEDERICO NICHOLAS Regional Director 407-530-5063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2022-02-23 |
| Last Update Date | 2023-06-05 |